Organization
FAIRLAWNS ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYNETTA ROBINSON (OWNER/ADMIN)
(305) 335-5105
Entity
Organization
Contact information
Practice address
911 NW 198TH ST, MIAMI GARDENS, FL 33169-3012
(305) 653-8465
(305) 653-8465
Mailing address
911 NW 198TH ST, MIAMI GARDENS, FL 33169-3012
(305) 653-8465
(305) 653-8465
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13762
AHCA
FL
Enumeration date
12/29/2022
Last updated
12/29/2022
Update your record
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